Individual
AMY BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
195 PLYMOUTH ST STE 624, BROOKLYN, NY 11201-1123
(917) 209-6925
Mailing address
195 PLYMOUTH ST STE 624, BROOKLYN, NY 11201-1123
(760) 271-1600
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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